低血糖发作:儿童两年龄差异中的病因和神经结果 (五年描述性研究)
Nahideh Khosroshahi1, Masoumeh Hassani2, Kamyar Kamrani3
1Division of Pediatric neurology, Tehran University of Medical Sciences, School of Medicine, Bahrami Children Hospital, Tehran, Iran.
Iranian journal of child neurology
|August 11, 2025
概括
儿童的低血糖发作很常见,原因因年龄而异. 新生儿发作源于摄入不良,出生窒息和IUGR. 在老年儿童中,原因包括胰岛素治疗,性低血糖症和GSD,导致发育延迟.
科学领域:
- 儿科急救医学 儿科急救医学
- 新生儿科学 新生儿科学
- 儿科神经学 儿科神经学
背景情况:
- 低血糖是关键的儿科紧急情况,是显著的症状.
- 迅速识别和管理低血糖发作对于改善患者的预后和减少神经系统的后果至关重要.
- 儿科医生的意识是早期诊断和有效干预的关键.
研究的目的:
- 评估儿童医院中低血糖发作的发生率.
- 确定不同儿科年龄组低血糖的主要原因和触发因素.
- 分析低血糖发作的神经副作用和长期后果.
主要方法:
- 一项涉及79名儿科患者的横截面研究.
- 数据收集包括人口统计,临床表现,血糖水平,低血糖的原因和并发症.
- 进行了神经学评估和后续的后续评估.
主要成果:
- 低血糖发作发生在44.3%的新生儿,24.05%的婴儿和31.65%的儿童中.
- 新生儿原因:摄入不足,出生窒息,子宫内生长限制 (IUGR).
- 婴儿/儿童的原因:胰岛素治疗糖尿病,性低血糖症,高胰岛素症,糖原储存疾病 (GSD).
- 常见的后果:全球精神运动延迟,孤立的言语延迟,孤立的运动延迟.
结论:
- 关于母乳养和避免早出院的母亲教育可以预防新生儿低血糖症.
- 父母对胰岛素的教育对于预防新生儿后患者的和并发症至关重要.
- 针对性的教育和早期干预策略对于管理儿科低血糖症及其神经影响至关重要.
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